Judy Rich

Experience

• 

  Eugene Burger Management Corporation

  Jun 1987 - Aug 1997

  Site Manager, Certified Occupancy Specialist HUD programs
• 

  The Record

  Jan 1998 - Jun 2007

  Advertising Account Executive
• 

  Texas MedClinic

  Sept 2008 - Jul 2009

  Medical Assistant
• 

  Take Care Health Systems

  Jul 2009 - Jul 2014

  Certified Medical Assistant
• 

  Sanford-Brown College San Antonio

  Jun 2014 - Oct 2014

  Adjunct Instructor

  Teach assigned courses, engage students to encourage learning and participation, provide leadership, document student progress, provide interesting and relevant assignments or discussions that relate to real life settings.

• 

  WellMed Medical Management

  Nov 2014 - May 2017

  Audit provider charts for HEDIS measures used in Star Ratings

  • Quality Data Specialist

    Nov 2015 - May 2017

  • Clinical Operations Assistant

    Nov 2014 - Nov 2015
• 

  Optum (formerly Alere Wellbeing)

  May 2017 - Jun 2018

  Clinical Administrative Coordinator

  Currently working with top insurance companies and National clients. Familiar with external referral processes and submitting WROI’s. Experienced in using several EMR applications and Phone ACD systems for incoming and outbound calls.

• 

  Aetna, a CVS Health Company

  Aug 2018 - now

  Member advocate for National group retirees in our Medicare Advantage plans. Review and educate members with benefits and other resources, locate providers for members, research claim questions, billing issues and initiate appeals. Review preauthorization status for members. Refer members to case management when needed.

  • Case Management Specialist

    Apr 2020 - now

  • Customer Service Specialist

    Aug 2018 - now